Progressive intracranial hypertension and cerebral hypoperfusion in a fatal case of cerebral aspergilloma
Research output: Contribution to journal › Journal article › Research › peer-review
We report a case of cerebral aspergilloma in a 25-year-old immunoincompetent man admitted to a general intensive care unit. Monitoring of intracranial pressure was instigated and revealed hour-long epochs of severe intracranial hypertension, despite a normal opening pressure, with decreases in cerebral perfusion pressure. We documented that this was associated with cerebral hypoperfusion by transcranial Doppler ultrasound. The present case illustrates that severe intracranial hypertension may evolve despite a normal opening pressure; it furthermore shows that continuous monitoring of intracranial pressure may be used to predict changes in cerebral haemodynamics in critically ill patients with neuroinfection.
Original language | English |
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Journal | BMJ Case Reports |
Volume | 2014 |
ISSN | 1757-790X |
DOIs | |
Publication status | Published - 6 Jun 2014 |
- Adult, Brain Ischemia/diagnostic imaging, Cerebrovascular Circulation, Fatal Outcome, Humans, Immunocompromised Host, Intracranial Hypertension/diagnosis, Leukemia, Prolymphocytic, T-Cell/immunology, Male, Monitoring, Physiologic, Mycetoma/complications, Neuroaspergillosis/complications, Ultrasonography, Doppler, Transcranial
Research areas
ID: 236992963